Individual
RICHARD VICKERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7449 CANDLERIDGE CIR APT 909, FORT WORTH, TX 76133-6509
(817) 903-2515
Mailing address
7449 CANDLERIDGE CIR APT 909, FORT WORTH, TX 76133-6509
(817) 903-2515
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
246
TX
175T00000X
Peer Specialist
—
—
Other
Enumeration date
07/11/2007
Last updated
05/20/2025
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